Question

A CPCT receives orders to draw an infant screening card, O2 levels, bilirubin, and DNA. Which of the following should be drawn first?

A) O2 levels
B) Bilirubin
C) DNA
D) Infant screening card

Answer 1

When a CPCT receives orders for various newborn tests, O2 levels are typically drawn first due to their immediate relevance to the infant's respiratory status. The provided information on the Apgar score is a separate assessment and not part of the ordered tests.

Step-by-step explanation:

In the context of newborn care, certain assessments and tests must often be performed shortly after birth. According to the scenario described, a Certified Phlebotomy Technician (CPCT) receives orders to draw O2 levels, bilirubin, DNA, and complete an infant screening card. Priority in such situations is generally given to those tests that are time-sensitive and related to the infant's immediate respiratory status and well-being. Therefore, O2 levels would typically be the first test to conduct, as they provide immediate data on the baby's oxygenation and potential respiratory distress.

The question also details a separate assessment involving five criteria: skin color, heart rate, reflex, muscle tone, and respiration, known as the Apgar score. This scoring system is a rapid method for evaluating a newborn's physical condition and determining any immediate need for extra medical or emergency care. High Apgar scores indicate that the baby has made the transition from the womb well, while lower scores may indicate distress.

Answer 2

O2 levels should be checked first to ensure the baby's immediate well-being. Following that, bilirubin levels are often tested for jaundice, while DNA testing and the infant screening card are less time-sensitive.

Step-by-step explanation:

The question pertains to the sequence in which a Certified Patient Care Technician (CPCT) should perform certain tasks related to newborn screening and testing. Upon receiving orders to draw an infant screening card, O2 levels, bilirubin, and DNA, it is important to prioritize based on the urgency and stability of the baby. Typically, the oxygen levels would be checked first (A) to ensure the baby is getting enough oxygen, as this is critical for immediate well-being. Following this, the bilirubin level (B) is often tested to check for jaundice, which is common in newborns. The DNA (C) test and the infant screening card (D) can follow thereafter since these tests are usually not time-sensitive and do not directly impact the immediate clinical management of the infant.